VATI Maternal Newborn
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
"Have you noticed any bloody show or fluid coming from your vagina?" False Labor: False labor is characterized by painless, irregular, and intermittent contractions that decrease in frequency, duration, and intensity with walking or position changes. Telling the client to walk is not a correct response because it is an intervention rather than an assessment question.
A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification?
"I can give him a tub bath in two days."
A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching?
"I will remove the condom 30 minutes after intercourse." CorrectCORRECT. To avoid any semen spillage onto the vulva or the vaginal area, the condom must be removed the same time as the penis. To do that the condom rim should be held in place while the penis is withdrawn from the vagina.
The client who is scheduled for a nonstress test (NST) asks the nurse to explain the purpose of the test. Which of the following is the correct response?
The purpose of the NST is to assess the fetal CNS.
A client in the early postpartum period is talkative and enjoys recounting the details of her labor and birth. The nurse recognizes that the behaviors must likely indicate which of the following?
The taking-in phase of maternal postpartum adjustment.
